NPI 1346826880 · live from the CMS NPI Registry
Blanca N Acosta Hernandez, DDS
Dentist, General Practice in Hialeah, FL. National Provider Identifier 1346826880, active.
NPI record
| NPI | 1346826880 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 400 W 65th St, Hialeah, FL 33012 |
| Practice phone | 305-827-0434 |
| Mailing address | 19592 Nw 82nd Pl, Hialeah, FL 33015 |
| Enumerated | March 23, 2021 |
| Last updated | August 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dentist, General Practice primary | 1223G0001X | 28364 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.